Individual
GRETCHEN GAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10140 ESTATE LANE, DALLAS, TX 75238
(972) 672-8468
Mailing address
10140 ESTATE LANE, DALLAS, TX 75238
(972) 672-8468
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA03390
TX
Other
Enumeration date
03/29/2006
Last updated
11/07/2012
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